Compliance Manager - Home Health Agency

ADP, Inc.; Chantilly (VA); On-site; USD 110,000 - 165,000; Full time

Benefits offered by this job

Leadership opportunity

Cross-functional collaboration

Meaningful work

Growth opportunities

Job summary

Five Star Home Health Care in Chantilly, VA is seeking a Compliance Lead to manage the organization\'s regulatory program and ensure alignment with CMS, Virginia home health regs, and Joint Commission standards. This 100% in-person role works with clinical, operations, billing, and leadership teams.

The ideal candidate has deep healthcare compliance knowledge, strong analytical skills, and proven ability to build monitoring plans, conduct audits, and train staff.

Qualifications

• Strong knowledge of healthcare compliance and quality assurance.
• Familiarity with CMS Conditions of Participation, Virginia home health regulations, and Joint Commission standards.
• Experience with clinical documentation auditing, billing compliance, and regulatory readiness.
• Analytical and detail-oriented with ability to assess risks and recommend corrective actions.
• Excellent communication and cross-functional collaboration skills.

Responsibilities

• Lead and maintain the agency's compliance program aligned with regulations and standards.
• Serve as designated compliance contact across departments.
• Develop annual monitoring, auditing, and risk assessment plans.
• Oversee regulatory readiness including mock surveys and visits.
• Conduct audits of documentation, billing, coding, and PDGM compliance.
• Monitor quality measures and QAPI activities, identifying improvement opportunities.
• Coordinate responses to survey findings with corrective action plans.
• Communicate regulatory changes to leadership.
• Maintain Code of Conduct and confidential hotline.
• Partner with executives to deliver compliance training.

Skills

Healthcare compliance

Regulatory requirements

Quality assurance practices

Analytical skills

Organizational skills

Communication skills

Job description

• This is a 100% in-person position based out of our Chantilly, VA office.

What You'll Do

• Lead and maintain the agency's compliance program, ensuring alignment with federal regulations, Virginia home health requirements, CMS guidelines, and Joint Commission standards.
• Serve as the organization's designated compliance point of contact, promoting accountability and ethical practices across all departments.
• Develop and maintain annual compliance monitoring, auditing, and risk assessment plans.
• Oversee regulatory readiness, including mock surveys, tracer activities, staff preparation, and documentation for Joint Commission and Virginia Department of Health visits.
• Conduct routine audits of clinical documentation, OASIS accuracy, plans of care, billing, coding, and PDGM compliance.
• Monitor HHVBP and quality measures alongside the QAPI program, identifying documentation trends and opportunities for improvement.
• Coordinate responses to survey findings, including plans of correction and supporting evidence of compliance.
• Monitor regulatory changes and communicate necessary updates and recommendations to organizational leadership.
• Maintain the agency's Code of Conduct and confidential compliance hotline, ensuring a culture of accountability and non-retaliation.
• Partner with Clinical Managers, the COO, CCO, and CEO to develop and deliver compliance training for new hires and existing employees.

What We're Looking For

• Strong knowledge of healthcare compliance, regulatory requirements, and quality assurance practices.
• Understanding of CMS Conditions of Participation, Virginia home health regulations, and Joint Commission standards.
• Experience with clinical documentation auditing, billing compliance, and healthcare regulatory readiness.
• Strong analytical and organizational skills, with the ability to identify compliance risks and recommend corrective actions.
• Excellent communication skills and the ability to collaborate with clinical, operational, billing, and leadership teams.
• A proactive, detail-oriented professional who can independently manage compliance initiatives and drive accountability throughout an organization.

Why Join Five Star Home Health Care?

• Leadership Impact: Take ownership of the organization's compliance program and help shape a culture of quality and accountability.
• Cross-Functional Collaboration: Work directly with executive leadership and department heads across the organization.
• Meaningful Work: Play a critical role in protecting patients, supporting employees, and maintaining the highest standards of care.
• Growth Opportunity: Help strengthen and develop compliance processes as our organization continues to grow.

Join Five Star Home Health Care and help us deliver quality care through excellence, accountability, and compliance.